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Systematic head and neck physical examination as a predictor of obstructive sleep apnea in class III obese patients BJMBR
Martinho,F.L.; Tangerina,R.P.; Moura,S.M.G.T.; Gregório,L.C.; Tufik,S.; Bittencourt,L.R.A..
Our aim was to determine if anatomical abnormalities of the upper airway (UA) and facial skeleton of class III severely obese patients are related to the presence and severity of obstructive sleep apnea syndrome (OSAS). Forty-five patients (69% females, mean age 46.5 ± 10.8 years) with a body mass index (BMI) over 40 kg/m² underwent UA and facial skeletal examinations as well as polysomnography. Mean BMI was 49 ± 7 kg/m² and mean neck circumference was 43.4 ± 5.1 cm. Polysomnographic findings showed that 22% had a normal apnea-hypopnea index (AHI) and 78% had an AHI over 5. The presence of OSAS was associated with younger age (P = 0.02), larger neck circumference (P = 0.004), presence of a voluminous lateral wall (P = 0.0002), posteriorized soft palate (P...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Obesity; Obstructive sleep apnea syndrome; Snore; Physical examination; Predictors.
Ano: 2008 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2008001200008
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Transitory increased blood pressure after upper airway surgery for snoring and sleep apnea correlates with the apnea-hypopnea respiratory disturbance index BJMBR
Araújo,M.T.M.; Ouayoun,M.; Poirier,J.M.; Bayle,M.M.; Vasquez,E.C.; Fleury,B..
A transitory increase in blood pressure (BP) is observed following upper airway surgery for obstructive sleep apnea syndrome but the mechanisms implicated are not yet well understood. The objective of the present study was to evaluate changes in BP and heart rate (HR) and putative factors after uvulopalatopharyngoplasty and septoplasty in normotensive snorers. Patients (N = 10) were instrumented for 24-h ambulatory BP monitoring, nocturnal respiratory monitoring and urinary catecholamine level evaluation one day before surgery and on the day of surgery. The influence of postsurgery pain was prevented by analgesic therapy as confirmed using a visual analog scale of pain. Compared with preoperative values, there was a significant (P < 0.05) increase in...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Snorers; Obstructive sleep apnea syndrome; Uvulopalatopharyngoplasty; Septoplasty; Blood pressure; Sympathetic activity.
Ano: 2003 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2003001200017
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Relationship between the quality of life and the severity of obstructive sleep apnea syndrome BJMBR
Lopes,C.; Esteves,A.M.; Bittencourt,L.R.A.; Tufik,S.; Mello,M.T..
The effects of sleep disorders on the quality of life (QOL) have been documented in the literature. Excessive sleepiness and altered circadian rhythms may negatively affect ability to learn, employment, and interpersonal relations, and directly degrade QOL. The objective of the present study was to evaluate the impact of obstructive sleep apnea syndrome of varying severity on QOL. The study was conducted on 1892 patients aged 18 years or older referred by a physician to the Sleep Institute, São Paulo, with complaints related to apnea (snoring, excessive daytime sleepiness, hyperarousal, and fatigue). They were submitted to overnight polysomnography for the diagnosis of sleep disorders from August 2005 through April 2006. The patients completed the Epworth...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Physical activity; Obstructive sleep apnea syndrome; Quality of life; Sleepiness.
Ano: 2008 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2008001000013
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